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KMID : 0359020080370010035
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.37 No. 1 p.35 ~ p.39
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A Case of a Sharp Denture-Induced Esophageal Perforation Managed by Medical Treatment
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Cha Jae-Myung
Lee Joung-Il
Choe Jae-Won
Joo Kwang-Ro
Jung Sung-Won
Shin Hyun-Phil
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Abstract
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Foreign bodies in the esophagus are regarded as clinically important as they cause symptoms such as pain and dysphagia and can cause complications such as perforation. Recent progress in therapeutic endoscopy has made it possible to extract most foreign bodies in the esophagus. However, endoscopic extraction of sharp foreign bodies impacted in the esophagus may be a difficult and complicated procedure. Although rapid surgical intervention is the main treatment for esophageal perforation, medical treatment can be successful for a minor perforation after early diagnosis if the perforation size is small and symptoms or signs associated with the perforation are mild. We report a case of a sharp dentureinduced esophageal perforation managed by medical treatment that consisted of parenteral nutrition and antibiotics.
This case highlights the necessity for an early diagnosis and treatment for an esophageal perforation, which can occur even after removal of a foreign body.
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KEYWORD
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Foreign body, Esophagus, Perforation, Medical treatment
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